Individual provider Active NPI

Gina Shields

  • Mental Health Counselor
  • Ogden, UT
National Provider Identifier
1326568627
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12735328-6009 Issued in UT
Practice address
2510 Washington Blvd Ste 180
Ogden, UT 84401-3120
Phone
(854) 386-8293
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12735328-6009 UT Primary

Addresses

Primary practice location

2510 Washington Blvd Ste 180
Ogden, UT 84401-3120

Mailing address

185 W 12TH St Ste D
Ogden, UT 84404-5522
Phone (801) 889-5692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805001787 UT Practitioner - Mental Health Counselor 2860900388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2510 Washington Blvd
Suite 180
Ogden, UT 84401-3120
Phone (801) 889-5692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12735328-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior in Balance Bib PC Mental Health CurrentSince Jun 23, 2025 Accepting new patients
Balance in Behavior Past Accepting new patients
Neurobehavioral Center for Growth LLC PastSince Jul 5, 2013 Accepting new patients

Locations

185 W 12th St
Ste D
Ogden, UT 84404

2510 Washington Blvd
Ste 180
Ogden, UT 84401
Phone (385) 438-6829

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1326568627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W 12TH ST STE D",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045522",
            "telephone_number": "801-889-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WASHINGTON BLVD STE 180",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013120",
            "telephone_number": "854-386-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "GINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12735328-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.